A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia

Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature...

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Main Authors:	Che Hasan, Muhammad Kamil, Stanmore, Emma, Todd, Chris
Format:	Conference or Workshop Item
Language:	English English
Published:	2018
Subjects:	RC Internal medicine RT71 Study and Teaching
Online Access:	http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf

id	iium-66289
recordtype	eprints
spelling	iium-662892018-10-03T01:11:36Z http://irep.iium.edu.my/66289/ A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris RC Internal medicine RT71 Study and Teaching Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies (Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain)) provides the best evidence for implementation. Thus, this study aims to evaluate the feasibility of ESCAPE-pain programme among patients with knee OA in Malaysian healthcare context. Method: A pragmatic feasibility randomised controlled trial was conducted recruiting from two hospitals in Malaysia. OA knee patients were randomised to ESCAPE-pain intervention (n=36) or control (n=36) groups using an independent online randomisation service (www.sealedenvelope.com). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: Attendance at ≥10 out of 12 sessions was 82.4%. Retention rate at 12-week was 87.5% (63/72). Repeated measures MANOVA shows that no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported for health belief, mental wellbeing, and fear of falling efficacy among patients in intervention group. Conclusions: The findings of this study indicate that the ESCAPE-pain programme may be feasible for patients with knee OA in Malaysia. As a feasibility study this is not powered to detect significant differences on primary KOOS outcomes, nonetheless participants reported positive views towards exercise with significant improvements in belief in performing activities, and reduced fear of falling. 2018-07-03 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf application/pdf en http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf Che Hasan, Muhammad Kamil and Stanmore, Emma and Todd, Chris (2018) A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia. In: EU Falls Festival 2018, 2nd-3rd July 2018, Manchester, United Kingdom. (Unpublished) http://www.eufallsfest.eu/documents/Abstact%20Booklet.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RC Internal medicine RT71 Study and Teaching
spellingShingle	RC Internal medicine RT71 Study and Teaching Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
description	Background: In Malaysia, around one in ten older people are diagnosed with osteoarthritis (OA). The most common form is knee OA. This can lead to functional limitations, impaired activities of daily living, reduced quality-of-life and increased risk of falls. Our systematic review of the literature concludes that a programme integrating exercise, education and active coping strategies (Enabling Self-management and Coping with Arthritic Pain using Exercise (ESCAPE-pain)) provides the best evidence for implementation. Thus, this study aims to evaluate the feasibility of ESCAPE-pain programme among patients with knee OA in Malaysian healthcare context. Method: A pragmatic feasibility randomised controlled trial was conducted recruiting from two hospitals in Malaysia. OA knee patients were randomised to ESCAPE-pain intervention (n=36) or control (n=36) groups using an independent online randomisation service (www.sealedenvelope.com). Outcomes were measured for physical function (TUG), knee injury and osteoarthritis outcome scores (KOOS), mental wellbeing (Short-WEMWBS), exercise health beliefs (ExBeliefs) and fear of falling (Short-FES-I) at baseline, six-week and after 12-week of intervention. Results: Attendance at ≥10 out of 12 sessions was 82.4%. Retention rate at 12-week was 87.5% (63/72). Repeated measures MANOVA shows that no significant changes (p>0.05) for TUG or KOOS between intervention and control groups. However, better outcomes (p<0.05) were reported for health belief, mental wellbeing, and fear of falling efficacy among patients in intervention group. Conclusions: The findings of this study indicate that the ESCAPE-pain programme may be feasible for patients with knee OA in Malaysia. As a feasibility study this is not powered to detect significant differences on primary KOOS outcomes, nonetheless participants reported positive views towards exercise with significant improvements in belief in performing activities, and reduced fear of falling.
format	Conference or Workshop Item
author	Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris
author_facet	Che Hasan, Muhammad Kamil Stanmore, Emma Todd, Chris
author_sort	Che Hasan, Muhammad Kamil
title	A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
title_short	A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
title_full	A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
title_fullStr	A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
title_full_unstemmed	A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia
title_sort	feasibility randomised controlled trial of escape-pain programme among patients with knee osteoarthritis in malaysia
publishDate	2018
url	http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/ http://irep.iium.edu.my/66289/1/Day%202%20Workshop%20A%20Muhammad%20Kamil%20Che%20Hasan.pdf http://irep.iium.edu.my/66289/7/66289_A%20Feasibility%20Randomised%20Controlled.pdf
first_indexed	2023-09-18T21:34:06Z
last_indexed	2023-09-18T21:34:06Z
_version_	1777412705308639232

A feasibility randomised controlled trial of ESCAPE-pain programme among patients with knee osteoarthritis in Malaysia

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